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Case Report
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Korean J Med. 2014;87(2):229-233. Published online August 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.2.229
- 헬리코박터 제균 치료 후 완전 관해된 방광의 원발성 점막연관 림프조직 림프종 1예
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이선표1, 주명수2, 류민희1, 송민정3, 서세영1, 정유문1, 서명숙1, 허주영3
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1울산대학교 의과대학 서울아산병원 내과
2울산대학교 의과대학 비뇨기과
3울산대학교 의과대학 병리과
- A Case of Complete Remission of Mucosa-associated Lymphoid Tissue Lymphoma of the Urinary Bladder after Eradication of Helicobacter Pylori
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Sunpyo Lee1, Myung-soo Choo2, Min-hee Ryu1, Minjeong Song3, Seyoung Seo1, Yumun Jeong1, Myeongsook Seo1, Jooryung Huh3
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1Departments of Internal Medicine, Asan medical Center,University of Ulsan College of Medicine, Seoul, Korea
2Departments of Urology, Asan medical Center, University of Ulsan College of Medicine, Seoul, Korea
3Departments of Pathology, Asan medical Center, University of Ulsan College of Medicine, Seoul, Korea
- Corresponding author: Min-hee Ryu ,Tel: +82-2-3010-6961, Fax: +82-2-3010-5935, Email: miniryu@amc.seoul.kr
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߽ɾ :방광; 점막연관 림프조직 림프종; 헬리코박터, 항생제
- Abstract
- Primary lymphoma of the urinary bladder is rare, comprising 0.2% of extranodal lymphomas. The predominant subtype of mucosa-associated lymphoid tissue (MALT) is extranodal marginal zone lymphoma. We report a case of MALT lymphoma of the urinary bladder in a 53-year-old female patient presenting with a five-year history of persistent hematuria and urinary frequency. A cystoscopy revealed multiple nodular lesions at the posterior wall and trigone of the bladder. The tissue obtained by cold-cup biopsy revealed lymphoid infiltration consistent with low-grade MALT lymphoma. Image studies revealed that the tumor originated from the urinary bladder and there was no evidence of metastases. The patient was positive for a rapid urease test. Because of the relationship between gastric MALT lymphoma and Helicobacter pylori, the patient was treated with antibiotics to eradicate Helicobacter pylori. The lymphoma subsequently disappeared and the patient has remained in persistent complete remission for eight years.
Keywords :Urinary Bladder, Lymphoma, Mucosa-associated Lymphoid Tissue, Helicobacter pylori, Antibiotics
